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NPI Code Detail

MEDICARE: CARALISA TAYLOR

MEDICARE: CARALISA TAYLOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1376K00000XNurse's AideCN0030002159GA

General Provider Information

NPI Number : 1447880869
Entity Type Code : Individual
Provider Name (Legal Business Name) : CARALISA TAYLOR
Provider Business Mailing Address
First Line : 3535 PEACHTREE RD NE STE 520-632
Second Line :
City : ATLANTA
State : GA
Zip : 30326-3287
Country : US
Telephone Number : 678-644-4241
Fax Number :
Provider Business Practice Location Address
First Line : 2158 CUMBERLAND PKWY SE APT 7404
Second Line :
City : ATLANTA
State : GA
Zip : 30339-4565
Country : US
Telephone Number : 678-644-4241
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2020
Last Update Date : 01/24/2020

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Directions to “ CARALISA TAYLOR ” Practice Location

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